Claim total
$127.17
base $127.17 · payer covered $89.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2024-04-28
- Stop
- 2024-04-28
The parties
- Patient
- patient Santos Sulema Boyer
- Provider
- provider Reginald Bruen
Record id
2474a716-f77f-8720-7414-2ddbd15fe5ff